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Assessment of the Effect of Empagliflozin (BI 10773) as Single Dose on the QT Interval in Healthy Female and Male Subjects

Assessment of the Effect of 25 mg and 200 mg of BI 10773 as Single Dose on the QT Interval in Healthy Female and Male Subjects. A Randomised, Placebo Controlled, Double-blind, Five-period Crossover Phase-I-study With Moxifloxacin as Positive Control

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01195675
Enrollment
30
Registered
2010-09-06
Start date
2010-08-31
Completion date
Unknown
Last updated
2014-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Brief summary

The objective of this study is to demonstrate that BI 10773 does not prolong the QT(c) interval more than placebo

Interventions

DRUGBI 10773 (low)

single oral dose

DRUGMoxifloxacin

single oral dose

2 times single dose

DRUGBI 10773 (high)

single oral dose

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

healthy female and male subjects

Design outcomes

Primary

MeasureTime frameDescription
Empa 200mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing60 minutes (min), 50min and 40 min before the first dose and 1 hour (h), 1.5h, 2h, 2.5h, 3h and 4h after the first doseMean QTcN (heart rate-corrected QT interval, using a study population-based approach) from the ECGs obtained between 1h to 4h following drug administration minus the mean QTcN from the baseline ECGs obtained pre-dose at each visit, for empa 200mg. Note, the treatment means presented are actually adjusted means.
Empa 25mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing60 minutes (min), 50min and 40 min before the first dose and 1 hour (h), 1.5h, 2h, 2.5h, 3h and 4h after the first doseMean QTcN (heart rate-corrected QT interval, using a study population-based approach) from the ECGs obtained between 1h to 4h following drug administration minus the mean QTcN from the baseline electrocardiogram (ECGs) obtained pre-dose at each visit, for empa 25mg. Note, the treatment means presented are actually adjusted means.

Secondary

MeasureTime frameDescription
Empa 200 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first doseMean changes from baseline in QTcN from all ECGs taken between 30 minutes and 24 hours after dosings, for empa 200 mg. Note, presented means are actually adjusted means.
Mean QTcN Change From Baseline Between 2 and 4 Hours After Dosing60 minutes (min), 50min and 40 min before the first dose and 2 hour (h), 2.5h, 3h and 4h after the first doseMean changes from baseline in QTcN from all ECGs taken between 2 hours and 4 hours after dosings Note, the means presented are actually adjusted means.
Empa 25 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first doseMean changes from baseline in QTcN from all ECGs taken between 30 minutes and 24 hours after dosings, for empa 25 mg. Note, presented means are actually adjusted means.
Empa 25mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings60 minutes (min), 50min and 40 min before the first dose and 0.5 hour (h), 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first doseChange from mean baseline in QTcN at each time point between 30 minutes and 24 hours after dosings for empa 25mg. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum upper confidence limit value over time. For this outcome results are presented for the 24 hour timepoint as this was when the maximum value was seen. Note, the presented means are actually adjusted means.
Empa 200mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings60 minutes (min), 50min and 40 min before the first dose and 0.5 hour (h), 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first doseChange from mean baseline in QTcN at each time point between 30 minutes and 24 hours after dosings for empa 200mg. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum upper confidence limit value over time. For this outcome results are presented for the 2.5 hour timepoint as this was when the maximum value was seen. Note, the presented means are actually adjusted means.

Other

MeasureTime frameDescription
Placebo Corrected Change From Mean Baseline at Any Time Point Between 30 Minutes and 24 Hours After Dosings.60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first doseThe placebo corrected change from mean baseline is defined per time point as the difference of the change from baseline for empa or moxifloxacin minus the average change from baseline obtained for the two administrations of placebo. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum mean value of all measurements. Results are presented for the greatest change, for empa 25mg the greatest change was seen at the 24 hour time point, for empa 200 mg and moxifloxacin the greatest change was seen at the 2.5 hour time point.
Time-matched Change From Placebo in QTcN Between 30 Minutes and 24 Hours After Dosing.60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first doseThe time-matched change from placebo is defined per time point as the difference of the ECG measurement following administration of empa or moxifloxacin minus the average of the measurements obtained following the two administrations of placebo. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum mean value of all measurements. Results are presented for the greatest change, for empa 25mg the greatest change was seen at the 24 hour time point, for empa 200 mg and moxifloxacin the greatest change was seen at the 2.5 hour time point.
Clinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Assessment of Tolerability by the InvestigatorDrug administration until beginning of next sequence/end of trial, up to 48 daysClinically relevant abnormalities for physical examination, vital signs, ECG, blood chemistry, haematology, urinanalysis and assessment of tolerability by the investigator. New abnormal findings or worsening of baseline conditions were reported as adverse events (AEs). Time frame for AE reporting includes the period of first drug administration until end of study. A more detailed definition of the used time frame and MedDRA Version can be found in the AE section.

Countries

Germany

Participant flow

Participants by arm

ArmCount
Study Overall
Total number of patients randomised and treated in the study.
30
Total30

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicStudy Overall
Age, Continuous34.5 years
STANDARD_DEVIATION 10.6
Sex: Female, Male
Female
14 Participants
Sex: Female, Male
Male
16 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
6 / 293 / 282 / 300 / 29
serious
Total, serious adverse events
0 / 290 / 280 / 301 / 29

Outcome results

Primary

Empa 200mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing

Mean QTcN (heart rate-corrected QT interval, using a study population-based approach) from the ECGs obtained between 1h to 4h following drug administration minus the mean QTcN from the baseline ECGs obtained pre-dose at each visit, for empa 200mg. Note, the treatment means presented are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 1 hour (h), 1.5h, 2h, 2.5h, 3h and 4h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboEmpa 200mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing3.67 msStandard Deviation 0.86
Empa 25 mgEmpa 200mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing3.44 msStandard Deviation 0.94
Comparison: Non-inferiority margin: 10ms90% CI: [-1.39, 0.94]ANCOVA
Primary

Empa 25mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing

Mean QTcN (heart rate-corrected QT interval, using a study population-based approach) from the ECGs obtained between 1h to 4h following drug administration minus the mean QTcN from the baseline electrocardiogram (ECGs) obtained pre-dose at each visit, for empa 25mg. Note, the treatment means presented are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 1 hour (h), 1.5h, 2h, 2.5h, 3h and 4h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboEmpa 25mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing3.68 msStandard Error 1
Empa 25 mgEmpa 25mg: Mean QTcN Change From Baseline Between 1 and 4 Hours After Dosing4.27 msStandard Error 1.1
Comparison: Non-inferiority margin: 10ms90% CI: [-0.69, 1.87]ANCOVA
Secondary

Empa 200mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings

Change from mean baseline in QTcN at each time point between 30 minutes and 24 hours after dosings for empa 200mg. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum upper confidence limit value over time. For this outcome results are presented for the 2.5 hour timepoint as this was when the maximum value was seen. Note, the presented means are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 0.5 hour (h), 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboEmpa 200mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings3.05 msStandard Error 0.96
Empa 25 mgEmpa 200mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings4.64 msStandard Error 1.15
Comparison: Non-inferiority margin: 10ms90% CI: [-0.35, 3.53]Repeated measures analysis
Secondary

Empa 200 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing

Mean changes from baseline in QTcN from all ECGs taken between 30 minutes and 24 hours after dosings, for empa 200 mg. Note, presented means are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboEmpa 200 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing0.68 msStandard Deviation 0.8
Empa 25 mgEmpa 200 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing0.53 msStandard Deviation 0.87
Comparison: Non-inferiority margin: 10ms90% CI: [-1.23, 0.93]ANCOVA
Secondary

Empa 25mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings

Change from mean baseline in QTcN at each time point between 30 minutes and 24 hours after dosings for empa 25mg. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum upper confidence limit value over time. For this outcome results are presented for the 24 hour timepoint as this was when the maximum value was seen. Note, the presented means are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 0.5 hour (h), 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboEmpa 25mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings-4.46 msStandard Error 0.96
Empa 25 mgEmpa 25mg: Change From Mean Baseline in QTcN at Each Time Point Between 30 Minutes and 24 Hours After Dosings-2.30 msStandard Error 1.3
Comparison: Non-inferiority margin: 10ms90% CI: [-0.34, 4.67]Repeated measures analysis
Secondary

Empa 25 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing

Mean changes from baseline in QTcN from all ECGs taken between 30 minutes and 24 hours after dosings, for empa 25 mg. Note, presented means are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboEmpa 25 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing0.71 msStandard Error 0.99
Empa 25 mgEmpa 25 mg: Mean QTcN Change From Baseline Between 30 Minutes and 24 Hours After Dosing1.37 msStandard Error 1.06
Comparison: Non-inferiority margin: 10ms90% CI: [-0.38, 1.71]ANCOVA
Secondary

Mean QTcN Change From Baseline Between 2 and 4 Hours After Dosing

Mean changes from baseline in QTcN from all ECGs taken between 2 hours and 4 hours after dosings Note, the means presented are actually adjusted means.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 2 hour (h), 2.5h, 3h and 4h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean QTcN Change From Baseline Between 2 and 4 Hours After Dosing3.53 msStandard Error 1.1
Empa 25 mgMean QTcN Change From Baseline Between 2 and 4 Hours After Dosing15.96 msStandard Error 1.24
p-value: <0.000190% CI: [10.73, 14.11]ANCOVA
Other Pre-specified

Clinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Assessment of Tolerability by the Investigator

Clinically relevant abnormalities for physical examination, vital signs, ECG, blood chemistry, haematology, urinanalysis and assessment of tolerability by the investigator. New abnormal findings or worsening of baseline conditions were reported as adverse events (AEs). Time frame for AE reporting includes the period of first drug administration until end of study. A more detailed definition of the used time frame and MedDRA Version can be found in the AE section.

Time frame: Drug administration until beginning of next sequence/end of trial, up to 48 days

Population: Treated set (TS): All subjects who were dispensed trial medication and were documented to have taken at least one dose of investigational treatment.

ArmMeasureValue (NUMBER)
PlaceboClinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Assessment of Tolerability by the Investigator0 participants
Empa 25 mgClinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Assessment of Tolerability by the Investigator0 participants
MoxifloxacinClinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Assessment of Tolerability by the Investigator0 participants
MoxifloxacinClinically Relevant Abnormalities for Physical Examination, Vital Signs, ECG, Blood Chemistry and Assessment of Tolerability by the Investigator0 participants
Other Pre-specified

Placebo Corrected Change From Mean Baseline at Any Time Point Between 30 Minutes and 24 Hours After Dosings.

The placebo corrected change from mean baseline is defined per time point as the difference of the change from baseline for empa or moxifloxacin minus the average change from baseline obtained for the two administrations of placebo. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum mean value of all measurements. Results are presented for the greatest change, for empa 25mg the greatest change was seen at the 24 hour time point, for empa 200 mg and moxifloxacin the greatest change was seen at the 2.5 hour time point.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboPlacebo Corrected Change From Mean Baseline at Any Time Point Between 30 Minutes and 24 Hours After Dosings.1.70 msStandard Deviation 7.64
Empa 25 mgPlacebo Corrected Change From Mean Baseline at Any Time Point Between 30 Minutes and 24 Hours After Dosings.1.67 msStandard Deviation 8.48
MoxifloxacinPlacebo Corrected Change From Mean Baseline at Any Time Point Between 30 Minutes and 24 Hours After Dosings.13.43 msStandard Deviation 8.38
Other Pre-specified

Time-matched Change From Placebo in QTcN Between 30 Minutes and 24 Hours After Dosing.

The time-matched change from placebo is defined per time point as the difference of the ECG measurement following administration of empa or moxifloxacin minus the average of the measurements obtained following the two administrations of placebo. The clinically relevant information (and endpoint resulting from ICH E14) is shown by the maximum mean value of all measurements. Results are presented for the greatest change, for empa 25mg the greatest change was seen at the 24 hour time point, for empa 200 mg and moxifloxacin the greatest change was seen at the 2.5 hour time point.

Time frame: 60 minutes (min), 50min and 40 min before the first dose and 30min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 12h and 24h after the first dose

Population: Full analysis set (FAS): all treated subjects who had at least one baseline assessment and at least one post-baseline assessment for at least one ECG endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboTime-matched Change From Placebo in QTcN Between 30 Minutes and 24 Hours After Dosing.4.05 msStandard Deviation 5.62
Empa 25 mgTime-matched Change From Placebo in QTcN Between 30 Minutes and 24 Hours After Dosing.3.45 msStandard Deviation 10.18
MoxifloxacinTime-matched Change From Placebo in QTcN Between 30 Minutes and 24 Hours After Dosing.13.99 msStandard Deviation 8.19

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026